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Mohawk Valley Community College
Center for Life and Health Sciences
NU 111
Nursing Pharmacotherapeutics
Fall 2012
Faculty
1
3/2012
Course Number:
NU 111
Course Title:
Nursing Pharmacotherapeutics 1
Course Credit:
1 Credit
Placement in Curriculum:
Fall (Time Block: 7.5 Weeks)
Corequisite:
NU 101 Nursing 1
(Fundamentals of Nursing)
COURSE DESCRIPTION
This course introduces the concepts pertaining to the pharmacodynamics and
pharmacokinetics of medications and dosage calculation for medication administration.
Disclaimer Statement:
The content of this syllabus is subject to change in the event of extenuating circumstances
or at the discretion of the course instructor.
2
TABLE of CONTENTS
Accommodation for Students With Disabilities Statement
p. 4
Sustainability Statement
Academic Affairs DGV Statement
Disclaimer-Academic Affairs
Student Learning Outcomes
p.5
Teaching Strategies
Academic Integrity Policy
Email
p.6
MVCC AND Nursing Program Essential Functions
Required Texts
p.7
Required Materials
Calculations
Dates to Remember
Course Outline
p.8
Evaluation Method
p.9
NU 111 Assignments
p.10
3
Rounding Rules for Dosage Calculation and IV Infusion
p.11
Accommodations for Students with Disabilities

Students are expected to contact the instructor with any information pertinent to
success in this class. Please read the Disabilities Statement located under
Institution Services on the MVCC Blackboard Welcome Page. Also see the
information below:
I would appreciate hearing from anyone in the class who has any type of disability
(e.g., physical, learning, psychiatric, vision, hearing, etc.) which may require some
special accommodation. Please see me during my office hours so that we can discuss
your needs. Before services can begin, you must also contact Lynn Igoe, Coordinator of
Disability Services, 792-5413, or Tamara Mariotti, the Learning Disabilities and
Assistive Technology Specialist, 731-5702; both are located in Room 153 of the
Academic Building on the Utica Campus. (For classes on the Rome Campus, the
contact person can be reached at, PC A30, 334-7718). They are the staff members
who review documentation, determine eligibility for accommodations, and decide what
those accommodations will be.
Sustainability Statement
Mohawk Valley Community College is committed to development and implementation
of a comprehensive sustainability plan. To that end, we are beginning by asking students,
faculty, and staff to actively participate in energy conservation measures and proper
recycling on campus. The blue bins located in classrooms, and offices are for paper and
paper products only. All plastic, metal and glass containers should be placed in the proper
recycling bins located in the hallways. Please remember to empty them before depositing
them. Any materials that cannot be recycled should be place in garbage cans. It is also
important to turn off lights and computers when leaving a room. Together we can make
an impact on conserving our resources. Remember to reduce, reuse and recycle!
Academic Affairs DGV Statement:
A few years ago, MVCC initiated a program titled “Diversity –Global View” (DGV),
which gave each of our graduates a chance to participate in educational experiences
designed to increase awareness of intercultural perspectives. Our goal in doing so was to
enhance our students’ understanding of the realities faced by individuals as a result of
their race, ethnicity, cultural background, gender, sexual orientation, socioeconomic
status, academic abilities and interests, age, religious beliefs, and physical ability. To that
end, all graduates who matriculated into programs in the fall 2008 or more recently, or
who have changed their major since 2008, are now required to complete the DGV
components associated with the degree or certificate program in which they are enrolled.
For more information please visit
http://www.mvcc.edu/students/registration/dgvrequirement.cfm.
Disclaimer-Academic Affairs
“The above procedures and policies are subject to change, in the event of extenuating
circumstances or at the discretion of the instructor.”
4
STUDENT LEARNING OUTCOMES
After completion of this course, the student will be able to:
1. describe the pharmacological concepts, terminology, and basic processes
associated with medication therapy.
2. discuss the legal regulation of medications.
3. utilize components of basic mathematics, systems of measurement and
conversions in the calculation of medications.
4. use information from medication orders, medication labels, and medication
administration records in the calculation of medications.
5. perform calculations necessary for safe preparation and administration of
medications.
6. apply the nursing process related to medication administration.
TEACHING STRATEGIES
Lecture, discussion, case studies and scenarios, critical thinking exercises, and multimedia.
ACADEMIC INTEGRITY POLICY
The College is committed to a spirit of intellectual inquiry rooted in the ethical behavior
of its participants. This means that certain acts which affect the integrity of learning are
not permissible. Engaging in dishonest or unethical behavior may result in disciplinary
action taken against the student by the instructor, department or other appropriate College
official. The following are examples, but not the full range of prohibited behavior in the
classroom, studio, laboratory, library, computer center, or at internship or other college
learning sites. Students cannot:






Ask for, give or receive help during tests, examinations, or quizzes or other evaluations without
permission of the instructor
Utilize books, papers, computer-based media or other materials and equipment during tests,
examinations, quizzes or other evaluations without permission of the instructor
Engage in plagiarism by submitting or using as their own another person's oral, written or
computer-based work. All sources of material must be credited.
Use another person's data, solutions, computer account, or calculations without the appropriate
authorized permission.
Steal, mutilate, alter or deface library materials, computer-based media or other academic
materials.
Illegally copy materials (print, audiovisual or computer-based media) that are protected under
provisions of the copyright laws of the United States or foreign countries. (See the MVCC
Copyright Policy).
NOTE: MVCC complies with Federal regulations with regard to nondiscrimination and equal opportunities
for the person with disabilities. Portions of this policy will be waived to meet those regulations as stated in
Section 504 of the Rehabilitation Act of 1973.
5
EMAIL
The primary method of communication is transmitted through MVCC email. All students have email
accounts through MVCC. Please check email accounts frequently.
To access email:
1. Go to www.mvcc.edu
2. Choose “email: Student Access” from drop down box
3. Log in
a. User Name: first initial, last name, day of your birth (ex. sjones09)
b. Password: last 4 digits of your social security number
MVCC ADN NURSING PROGRAM ESSENTIAL FUNCTIONS
MVCC seeks to provide equal access to its programs, services and activities for people with disabilities.
Therefore, the College will make a reasonable accommodation for an applicant with a disability who is
otherwise qualified.
The essential function of a student enrolled into the ADN program requires that the student, with or without
reasonable accommodations, must be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
demonstrate the ability to perform essential functions for a maximum of a 10 hour shift.
demonstrate the ability to protect a patient when the patient is standing and ambulating on all
surfaces with or without the use of assistive devices, including canes, crutches and walkers.
demonstrate the ability to safely move a patient over 100 pounds from one surface to another
using the appropriate level of help.
demonstrate safe body mechanics in the process of all patient treatments, including lifting and
carrying small equipment (under 50 pounds) and moving large equipment (over 50 pounds).
demonstrate the ability to manipulate dials on equipment.
demonstrate the ability to coordinate simultaneous motions.
demonstrate the ability to perform occasional overhead extension
demonstrate the ability to hear blood pressure, heart and lung sounds with or without corrective
devices.
demonstrate the ability to palpate soft tissue including pulse, muscle and bones.
demonstrate the ability to perform nursing interventions such as sterile procedures, dressing
changes and administer medications (including dosage calculations when necessary) following
infection control procedures.
display adaptability to change.
establish effective relations with others.
communicate effectively, safely and efficiently in English by:
a. explaining procedures.
b. receiving information from others.
c. receiving information from written documents.
d. exhibiting appropriate interpersonal skill (refer to ANA Code for Nurses).
e. analyzing and documenting assessment findings and interventions.
distinguish color changes.
detect an unsafe environment and carry out appropriate emergency procedures including:
a. detecting subtle environment changes and odors including, but not limited to, the smell of
burning electrical equipment, smoke and spills.
b. Detect high and low frequency sounds, including but not limited to, alarms, bells, and
emergency signals.
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These are the Essential Functions of the Health Services Department. If there are any reasons why you may
not be able to perform these functions with or without reasonable accommodations, you should notify the
Department Head as soon as possible.
REQUIRED TEXTS
1. Pickar, G. D. (2011). Dosage calculations: A ratio-proportion approach (3rd ed.).
Clifton Park, NY: Delmar.
2. Deglin, J.,Vallerand, A. & Sanoski, C. (2011). Davis’s Drug Guide for Nurses +
Resource Kit CD-ROM (12th ed.). Philadelphia, PA: F.A. Davis.
3. Lynn, P. (2011). Clinical nursing skills: A nursing process approach (3rd ed).
Philadelphia: Lippincott, Williams, & Wilkins.
4. Taylor, C., Lillis, C. & Le Mone, P. (2011). Fundamentals of nursing: The art and
science of nursing care (7th ed.). Philadelphia: Lippincott, Williams, & Wilkins.
REQUIRED MATERIALS
Students are only permitted to use the designated Nursing calculator for testing
(purchased in MVCC Bookstore).
CALCULATIONS
Dosage calculation answers must be written in the approved format and labeled
appropriately according to the standardized rounding rules in order to be graded as a
correct answer. The standardized rounding rules can be found on the last page of this
syllabus.
DATES TO REMEMBER
September 3 (Labor Day): No classes
October 8 (Columbus Day): No classes
Week 7:
Monday October 8: No classes
Tuesday October 9 is a Monday schedule
Wednesday October 10 is a Wednesday schedule
Thursday October 11 is a Thursday schedule
Friday October 12 is a Friday schedule
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COURSE OUTLINE
Week I
-Math review
-Systems of measurement
-Converting within the same system
-Converting between systems
Week II
-Basic concepts of medication administration
-Medication orders
-Medication administration records
-Medication labels
-Ratio-Proportion Method
Week III
-Oral medications
-Parenteral medications
-Basic IV calculations
Week IV
-Powdered/Reconstituted medications
-Insulin
-Heparin (sub-cut)
Week V
-Introduction to nursing pharmacotherapeutics
-Introduction to drug classifications
-Pharmacodynamics
-Pharmacokinetics
-Legal regulation of drugs
-Sources of drug information
-Untoward effects of drugs on the body (adverse, allergy, tissue and organ
damage)
-Nursing process and medication administration
-Review and practice
Week VI
-Comprehensive Exam
Week VII
-Re-takes for those students unsuccessful on first exam
-Further practice for those students successful on first exam
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EVALUATION METHOD
One (1) exam will be given week 6 of this course. The comprehensive exam will consist
of 5 questions on pharmacotherapeutics and 15 questions on dosage calculation. The
student will be given 1 hour to complete the exam. The student must obtain a minimum
grade of 74.5%.
If the student receives a grade of below 74.5%, the student will be allowed one (1) retake.
The retake will be given week 7. The retake exam will consist of 5 questions on
pharmacotherapeutics and 15 questions on dosage calculation. The student will be given
1 hour to complete the exam. The student must obtain a minimum grade of 74.5%.
Failure to obtain the minimum score will result in course failure and the student will not
be allowed to progress to NU 102/103.
Please note: A student who failed the first exam will be given the opportunity to take
the exam a second time in an attempt to pass the course, but will not receive higher
than a final grade of C-- no matter what grade they receive on the second test.
EXAMINATION POLICY
See the MVCC Nursing Student Handbook.
GRADING CRITERIA
A = 89.5-100
B = 79.5-89.4
C = 74.5-79.4 Passing is a minimum grade of 74.5
D = 64.5-74.4
F = less than 64.5
A minimum grade of “C” is required to pass NU 111 Nursing Pharmacotherapeutics 1
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NU 111 ASSIGNMENTS
Week
1
2
3
4
5
6
7
Class
Dates
M - 8/20
T – 8/21
W – 8/22
Or
F – 8/24
M – 8/27
T – 8/28
W – 8/29
Or
F – 8/31
M - 9/10
T – 9/4
W – 9/5
Or
F – 9/7
M - 9/17
T – 9/11
W – 9/12
Or
F – 9/14
M – 9/24
T – 9/18
W – 9/19
Or
F- 9/21
M – 10/1
T – 9/25
W – 9/26
Or
F – 9/28
T - 10/9
(Monday
schedule)
T – 10/2
W – 10/3
Or
F- 10/5
Content
-Math review
-Systems of measurement
-Converting within the same system
-Converting between systems
Assignments
Pickar:
Chapters 1;
Chapters 3-5
-Basic concepts of medication administration Pickar:
-Medication orders
Chapters 2;
-Medication administration records
Chapters 6-9
-Medication labels
-Ratio-Proportion Method
-Oral medications
Pickar:
-Parenteral medications
Chapters 10-11;
-Basic IV calculations
Chapter 15
-Powdered/Reconstituted medications
-Insulin
-Heparin (sub-cut)
Pickar:
Chapter 6 pages
105-107 and
Chapter 11 pages
218-233
-Introduction to nursing
pharmacotherapeutics
-Introduction to drug classifications
-Pharmacodynamics
-Pharmacokinetics
-Legal regulation of drugs
-Sources of drug information
-Untoward effects of drugs on the body
(adverse, allergy, tissue and organ damage)
-Nursing process and medication
administration
-Review and practice
-Comprehensive Exam
Lynn :
Chapter 5
Taylor
Chapter 29
-Comprehensive Exam Re-takes for those
students unsuccessful on first exam
-Further practice for those students
successful on first exam
10
Bring Davis’s Drug
Guide to class
Rounding Rules for Dosage Calculation and IV Infusion
Whole Numbers:
Dosages in whole numbers should never be followed with a decimal point and zero.
Example:
4 mg PO (Correct)
4.0 mg PO (Incorrect)
Basic Rounding: Decimals
Remember:
Rounding to the nearest tenth:
Round at the end of the
If the last digit is equal to or > 5 round up. Ex: 1.57 mL= 1.6mL
problem.
If the last digit is < 5 round down.
Ex: 1.54 mL= 1.5mL
The exception to this rule is when
Rounding to the nearest hundredth:
you are converting pounds to kg.
If the last digit is equal to or > 5 round up. Ex: 0.686mL=0.69mL
Always convert to kilograms first
If the last digit is < 5 round down.
Ex: 0.543mL = 0.54mL
then complete calculation.
Converting pounds to kilograms:
Round to the nearest 10th
1 kg = 2.2 pounds
Example: 120 pounds = 54.54 kg = 54.5 kg
Dosage Less than 1 mL
Milliliters:
Dosage Less than 1 mL
Drops (gtt) and Units:
Drops and units are too small to
divide into parts. Always round to
the nearest whole number.
Example: 89.5 = 90
89.4 = 89
Greater than 1 mL
Calculate to three places
If dosage calculation is in the
If the answer is > 1mL round
then round to the 100th
10th place you must proceed the
to the nearest 10th.
and place a zero in front of
decimal with a zero.
the decimal.
Ex: 1.57 = 1.6 mL
Ex: .4 mL= 0.4 mL
Ex: 0.376 = 0.38 mL
.8 mL = 0.8 mL
Ex: 0.563 = 0.56 mL
Tablets:
Tablets, as a rule, can be given whole or broken into halves, if scored.
Converting Apothecary to Metric:
Conversion not always equal from grains to milligrams. Grains1 = 60-65mg
Ex:
ASA gr V = ASA 325 mg
Phenobarbital gr ½ = Phenobarbital 30 mg
Nitroglycerine gr 1/200 = Nitroglycerine 0.3 mg (60 divided by 200)
IV Calculations:
Intravenous infusions are calculated in drops per minute (gtt/min) for gravity flow and
milliliters per hour (mL/h) via infusion pump.
Ex: gravity flow – round to nearest whole number. (Formula: Volume of solution X Drop Factor of
tubing divided by time in minutes.) 100 mL X 20 gtts divided by 60 minutes =33.33 = 33 gtt/minute
Ex: IV pump – round to the nearest whole number. 1000 mL to infuse over 12 hrs. 1000 divided by
12 = 83.33 = 83 mL/hour
Revised 5/2010
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